Organization
DIABETES SUPPLY CENTER OF THE MIDLANDS LLC
Active
Other names
Diabetes Supply Center of the Midlands
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
10304 CROWN POINT AVE, OMAHA, NE 68134-1060
(402) 399-8444
(402) 399-8616
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0987867
—
IA
01
—
09931
BCBS
NE
01
—
2815035
NABP NUMBER
NE
Enumeration date
07/29/2006
Last updated
04/07/2026
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